A 24-Year-Old Man Is Being Evaluated for Gross Hematuria

A 24-year-old man is being evaluated for gross hematuria.  Cystoscopy under general anesthesia is performed.  After the scope is passed into the urinary bladder, a triangular portion of the bladder floor formed by the internal urethral orifice and 2 slit-like openings is observed.  Gross blood is seen oozing from one of the slit-like openings.  Which of the following is the most likely cause of this patient's hematuria?

A) Bladder rupture
B) Colovesical fistula
C) Renal papillary necrosis
D) Urethral diverticulum
E) Urinary bladder cancer

Correct Answer:

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